N.H. Admin. Code § Soil 301.02

Current through Register No. 50, December 12, 2024

Section Soil 301.02 - Application Forms

(a) The applicant for certification as a soil scientist or wetland scientistshall supply the following on the application:

(1) General information about the applicant, including his or her:

a.Name and any names previously used;

b.Written signature;

c.Residential address;

d.Present position;

e.Organization and title;

f.Business address;

g.Business and personaltelephone numbers;

h.Place and date of birth;

i.E-mail address;

j.Current certification/registration information as a soil scientist or wetland scientist;

k.Whether the applicant has ever been convicted of any felony, or misdemeanor that has not been annulled by a court pursuant to RSA 651:5 and if not annulled, the name of the court in which the conviction occurred, the details of the offense and the date of conviction and the sentence imposed; and

l.The applicant's social security number required pursuant to RSA 161- B:11, VI-a;

(2) Information regarding the applicant's registration/certification in other states, including:

a. The first state certified/ registered in;

b.The certificate number and date certified;

c.Whether certified by examination;

d.Whether the certificate is now in force, and if not, the reasons why certificate is not in force; and

e.Whether the applicant has ever been denied registration, certification or licensure as a soil or wetland scientist or disciplined by this board or another soil or wetland scientist board in any other state or country and if so, an explanation of the circumstances;

(3) A list of current memberships in professional or scientific associations, including:

a.The name of organization;

b.The location;

c.The applicant's grade of membership; and

d.Date of membership;

(4) A transcript of college or university credits obtained, including:

a.The name of institution;

b.Years attended;

c.Graduation date,

d.Credits completed; and

e. The degree awarded.

(5) A list of home study and correspondence school courses related to soil science or wetland science completed;

(6) Evidence of professional experience related to soil science or wetland science, including:

a.Name and address of employer;

b.Title of position;

c.Dates of employment;

d.Name and present address of someone familiar with each position;

e.Summary of soil or wetland plans; and

f.As applicable, additional information supplied on the supplemental experience record form in the same format as number 6 of the certification application;

(7) The names, complete addresses, occupation and business relationship with applicant of 5 references, not related to the applicant with 2 references being soil scientists or if applying for wetland scientist certification 2 shall be wetland scientists; and

(8) Applicant's signature completed under oathor affirmation.

(b) The applicant for apprentice soil scientist or apprentice wetland scientist shall supply the following on or with the application:

(1) General information about the applicant, includinghis or her:

a.Name and any names previously used;

b.Written signature;

c.Residential address;

d.Present position;

e.Organization and title;

f.E-mail address;

g.Business address;

h.Business and personal telephone numbers; and

i.Place and date of birth.

(2) Whether the applicant has ever been convicted of any felony, or misdemeanor that has not been annulled by a court pursuant to RSA 651:5 and if not annulled, the name of the court in which the conviction occurred, the details of the offense and the date of conviction and the sentence imposed;

(3) Information regarding the applicant's registration/certification in other states, including:

a.The first state certified/ registered in;

b.The certificate number and date certified;

c.Whether certified by examination;

d.Whether the certificate is now in force, and if not, the reasons why certificate is not in force; and

e.Whether the applicant has everlostregistration, certification or licensure as a soil or wetland scientist or disciplined by this board or another soil or wetland scientist board in any other state or country and if so, an explanation of the circumstances;

(4) A list of current memberships in professional or scientific associations, including:

a.The name of organization;

b.The location; and

c.The applicant's grade of membership, and date of membership;

(5) A transcript of college or university credits obtained including:

a.The name of institution;

b.Years attended;

c.Graduation date; and

d.Credits completed;

(6) A list of home study and correspondence school courses related to soil science or wetland science completed;

(7) Evidence of professional experience related to soil science or wetland science as indicated on the certification application;

(8) As applicable, additional professional experience information supplied on the supplemental experience record form;

(9) Names and certificate numbers of apprentice supervisors; and

(10) Applicant's signature.

N.H. Admin. Code § Soil 301.02

#4676, eff 9-20-89, EXPIRED: 9-20-95

New. #6232, eff 4-26-96; ss by #6881, eff 11-13-98; ss by #8621, eff 5-2-06; ss by #9886-B, eff 3-11-11